Questions: FLAG A nurse is assisting in the care of a client in a provider's office. Exhibit 1 Exhibit 2 Exhibit 3 Provider Prescriptions 1600: Amoxicillin ER 750 mg PO once daily for 10 days A nurse is reinforcing teaching with the client about their new prescription. Which of the following information should the nurse include in the teaching? Select all that apply. This medication can cause ringing in the ears. If the tablet is too large, you can cut it in half with a pill splitter. Take the entire prescribed dose of medication. This medication can cause diarrhea: Notify your provider if you experience a rash. Take an antacid before taking this medication. PREVIOUS CONTINUE

The correct information that the nurse should include in the teaching are:

• Take the entire prescribed dose of medication.
• This medication can cause diarrhea.
• Notify your provider if you experience a rash.

Explanation for each option:

1. This medication can cause ringing in the ears.
   This is incorrect. Ringing in the ears (tinnitus) is not a common side effect of amoxicillin. It is more commonly associated with other medications, such as certain antibiotics like aminoglycosides.

2. If the tablet is too large, you can cut it in half with a pill splitter.
   This is incorrect. Amoxicillin ER (extended-release) tablets should not be cut, split, or crushed, as this can affect the release mechanism and the effectiveness of the medication.

3. Take the entire prescribed dose of medication.
   This is correct. It is important to complete the full course of antibiotics as prescribed to ensure the infection is fully treated and to prevent antibiotic resistance.

4. This medication can cause diarrhea.
   This is correct. Diarrhea is a common side effect of antibiotics, including amoxicillin. Patients should be informed about this possibility.

5. Notify your provider if you experience a rash.
   This is correct. A rash can be a sign of an allergic reaction to amoxicillin, and the provider should be notified if this occurs.

6. Take an antacid before taking this medication.
   This is incorrect. Antacids can interfere with the absorption of certain medications, but this is not typically a concern with amoxicillin. However, it is generally advised to take antibiotics with water and not to mix them with other medications unless directed by a healthcare provider.

In summary, the nurse should emphasize completing the full course of the medication, inform the client about the possibility of diarrhea, and advise them to notify their provider if a rash occurs.